Referral Coordinator NBGW (Full-time, Days)

PRIMARY JOB DUTIES

• Gathers, updates and verifies insurance/payer information and ensures accurate entry into the practice management system.
• Verifies insurance type and eligibility for care.
• Prioritizes referrals based on clinical need as indicated by the ordering provider, and the Medical Services Request Form (MSR).
• Completes, and documents, referral / scheduling process for all referrals for initial consult visits, as requested by the ordering provider (includes patient contacts, closure of referral, correspondence notification to PCP, as appropriate).
• Observes provider schedules to ensure appointments are booked for correct appointment type and correct time allocation.
• Schedules appointments for other specialty referrals and/or other services/procedures.
• Delivers appropriate information (office visits, labs, radiology reports, etc.) via fax, or in person to the specialty provider.
• Schedules appointments and procedures for referrals for numerous Multi-faceted Specialty Care Offices as required.
• Obtains additional information from referring provider when requested by consulting provider.
• Assists in collection and reporting of statistical data, as requested.
• Determines priorities for completion of support functions, tasks and projects.
• Provides applicable basic education to patients to optimize the opportunity for customer satisfaction.
• Provides assistance to Patient Services Representatives (PSR) and Medical Assistants as needed with referral duties.
• Backs up PSR positions as needed.

REQUIRED QUALIFICATIONS

• Minimum of one year’s experience in a medical front office setting with experience and knowledge of health insurance/ benefit requirements required.
• Knowledge of medical terminology, and insurance rules and regulations required.
• Detail oriented with typing and computer input ability and a working knowledge of general office machines required.
• Strong organizational and written/spoken communication skills essential.
• Ability to work independently on a variety of complex tasks, managing competing deadlines.
• In depth working knowledge of Windows and Microsoft Word.
• Knowledge of ICD-9, ICD-10 and CPT-4 coding.
• Strong ability to multi-task; schedule appointments for several multi-disciplinary clinics.